Revenue Cycle Management
“NetSolutions is much faster on closing our billing month. It used to take three hours, now it takes less than one. It’s remarkable how much faster it processes claims and calculates charges.”
Amy Erdely
Director of Information Technology Saint Marys Home of Erie
Simplify Your Workflows, Maximize Your Reimbursements & Optimize Your Cash Flow
Take the complexity out of managing your RCM process with our fully integrated long-term care financial solutions. Our streamlined tools enhance revenue cycle management through efficient processes resulting in full and timely reimbursement and optimal cash flow. Start saving hours or even days each month while gaining more financial resources to better serve your residents.
Ultimate Configuration
Long-term care isn’t a one-size-fits-all industry and your revenue cycle management software shouldn’t be either. Our financial management solutions are easily tailored to work the way your business works.- Automated contract adjustment rules: Eliminate tedious contract changes by setting your facility’s rules to adjust contracts automatically.
- Accommodate data-sensitive setup: Set up your data the way you need it for your ancillary items, including cost, price, and markup, with an HCPC/CPT code lookup.
- User-defined billing cycles: Arrange your billing cycles by payor, and on the time frame you need, such as weekly, biweekly, or early bills.
Better Billing
RCM shouldn’t be complicated. Our solutions help your staff to store, index, access, and retrieve electronic documents imported to the resident’s financial and clinical records.
- Coordination of benefits: Easily manage adjustments to supplemental billing claims.
- Create electronic bills for multiple payor types with the same bill specs.
- Work in several billing periods simultaneously: Calculate charges and produce bills and reports for the next billing period without closing the current period.
- Retroactive processing: Our simple process charges a payor for a resident to automatically readjust charges for a selected time period.
- Charge for both an apartment and a bed. CCRCs and ALFs can charge for both in the same time span.
- Bill for reserved beds. Get paid for every reservation.
Learn more about NetSolutions’ Electronic Eligibility Message
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Claims & Collections
Accurately verifying eligibility and identifying hidden coverages is a time-intensive challenge that can lead to revenue loss. So, we fixed it. Our financial solution automates and expedites payments by electronically confirming resident eligibility with payers including Medicare, Medicaid, and/or commercial insurance. Seamless integration of patient data from your EHR with your financial management solution has never been easier.- Get paid faster: Create your claims in the format that your insurance payors require so there is no delay for rejected claims.
- Advanced Collections Modules: Track the current status of – or actions taken on – receivables, and create collection letters.
- Supports Medicare Part B Therapy Cap: Including billing with modifiers and tracking the cap by resident. Reports on therapy used and when cap exceeded.
- Automatically generate Medicare No-Pay and Benefits Exhaust bills according to CMS rules.
Robust Reporting
Gone are the days of combing through spreadsheets and paperwork to track down the data you need. When it comes to reports, options are everything.
- Over 100 On-Demand Reports: Options such as Monthly Census, Resident Ledger, and Retro Adjustments are available at the click of a mouse.
- Custom Reports: Seamlessly combine specific clinical and billing data points so you have all the information you need in one easy-to-view format.
- Track Ancillary Fees: No more numbers that don’t line up. Automatically track fees for inventory and reporting.
- Detailed Data Collection: Easily compile data on resident claims and events including leaves and discharges.
Resident Funds & Profiles
Save time and control your census with a single portal for resident management. Our consolidated medical billing solution gives you the flexibility to manage multiple fund options, and track and report resident information.
- Eliminate duplicate data entries with a streamlined integration to Accounts Receivable.
- Automatically Track Resident Trust Funds to save time and reduce the chance of errors.
- Automatically allocate interest during bank reconciliation.
- Survey and Audit Reports: Tools and reports prepare you for surveys and audits in the blink of an eye.
Looking for more financial management tools?
Check out our General Financials system or contact us for more information.